This is a HYBRID position that requires on-site presence in St. Louis, MO
POSITION SUMMARY
The successful candidate will become an expert in the setup, payment, tracking and reporting of financial and rebate guarantees in accordance with Express Script’s PBM client contracts. Collaboration with cross-functional teams will be vital to meeting deadlines and expectations of position. Additionally, this individual will assist in the workload management and development of the team to ensure that production targets are achieved and effective processing controls are in place. This position will assist with key account reviews and facilitate business partner quality reviews of these key accounts. This individual may participate in client facing calls. This individual will be key in providing new hire feedback to accelerate new hire effectiveness. This individual will be asked to participate in special projects, assist with escalations, meetings and complete ad hoc reporting and analysis.
ESSENTIAL FUNCTIONS
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Works under minimal supervision, through established procedures, to ensure appropriate assessment of client clinical rules impacting rebate eligible products.
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Expert in addressing service requests from the Account Team and other business partners related to ESI clients' financial, rebate and performance guarantees.
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Identify deficiencies and work with Manager/Supervisor to determine corrective actions as needed.
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Assistance with day-today prioritization and workload management and escalation.
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Special projects and process improvements.
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Mentor, training, and team development.
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On-going review of policies and procedures.
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Other duties as deemed essential by business to support rebates optimization process.
QUALIFICATIONS
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BS degree in Business, Accounting or related field.
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3+ years relevant experience with Bachelor’s Degree.
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Related work experience in PBM, Pharmaceutical, or Healthcare industry preferred.
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Strong analytical, planning, problem identification and resolution skills required.
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Highly proficient in MS Excel (VBA) and SQL.
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Effective communication with internal and external individuals in various functional areas and at all levels of management.
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Experience working with cross functional departments to research and resolve issues.
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Understanding of and experience with quality and process improvement concepts, methodologies.
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Requires experience in business analysis and production testing.
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Hybrid (remote/onsite) located in St. Louis, MO
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Top Skills
What We Do
At Cigna, we're more than a health insurance company. We are your partner in total health and wellness. And we’re here for you 24/7 – caring for your body and mind.
As a global health service company, Cigna's mission is to improve the health, well-being, and peace of mind of those we serve by making health care simple, affordable, and predictable.
Our values are the core of our culture. Our values guide how all 74,000 of us around the world work together, serve our customers, patients, clients, communities, and deliver on our mission.